Confident Solutions, LLC
Homeschooling Classes-OG with SL
Please circle or highlight the dates you are signing your child up for:
August: 23rd, 30th
September: 6th, 13th, 20th, 27th
October: 4th, 11th, 18th, 25th
November: 1st, 8th, 15th, 29th
December: 6th, 13th
Today’s Date: ______________________________
Child’s Name: _______________________________ Date of Birth:____________________________
Gender:____________________________________ Grade:_________________________________
Parent:____________________________________ Relationship to Child:______________________
Address:___________________________________ Cell Phone:______________________________
Email:________________________________________________________________________________
___Guarantor ___Custodial Parent ___Non-Custodial Parent _____ Legal Guardian
Parent:____________________________________ Relationship to Child:______________________
Address:___________________________________ Cell Phone:______________________________
Email:________________________________________________________________________________
___Guarantor ___Custodial Parent ___Non-Custodial Parent _____ Legal Guardian
Primary language spoken in home:_________________________________________________________
Please tell us about your child:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Is your child able to remain in a group setting without elopement or aggressive behaviors?
___yes ____no
Cancellation Policy: Due to prior preparation and maintaining a small class size to better serve our families, payment in full is due upon registration for the class. If Confident Solutions cancels any sessions due to inclement weather, a make-up session will be offered. Registration for each class is nonrefundable.